胸部CR摄片在新生儿肺透明膜病诊断及动态观察中的临床应用  

Clinical Application of Chest CR Radiograph in Diagnosis and Follow-up of Pulmonary Hyaline Membrane Disease in Newborn

作　　者：王经龙[1] 王桂忠[1] 李建国[1] 易小玲[1] 关群策[1] 

机构地区：[1]江西省吉安市妇幼保健院放射科,江西吉安343000

出　　处：《实用放射学杂志》2011年第4期595-597,619,共4页Journal of Practical Radiology

摘　　要：目的 探讨胸部CR摄片在新生儿肺透明膜病诊断及治疗过程中动态观察的临床应用.方法 回顾分析208例新生儿肺透明膜病的X线表现和临床资料.结果 根据X线表现,将新生儿肺透明膜病分为4级.本组208例中,Ⅰ级56例,Ⅱ级81例,Ⅲ级49例,Ⅳ级22例.在治疗过程中动态观察病程如下：（1）一般治疗或使用PS药物治疗及机械通气后,24 h,48 h连续复查胸片,有效治疗156例,无效治疗52例.（2）并发症：肺炎76例,动脉导管开放63例,肺出血38例,气漏64例,支气管肺发育不良2例,缺氧缺血性脑病36例.结论 胸部CR摄片是诊断新生儿肺透明膜病的最佳影像学检查方法,运用其在治疗过程中动态观察病程变化具有临床价值.Objective To discuss the clinical application of chest CR radiograph in diagnosis and follow-up of pulmonary hyaline membrane disease（ HMD） in newborn. Methods X-ray appearances and clinical data of 208 newborns with pulmonary hyaline membrane disease were retrospectively analysed. Results According to X-ray appearances of pulmonary hyaline membrance disease was divided into four levels：level Ⅰ in 56, level Ⅱ in 81, level Ⅲ in 49 and level IV in 22 cases Manifestations in the dynamic observation of the disease were as follow： （1）After general treatment or using PS drug treatment and mechanical ventilation, X-ray re-examina- tion after 24 hours and 48 hours continuous showed that the therapy in 156 cases was effective and non-effective in 52 cases. （2）Com- plications： pneumonia in 76 cases, patent ductus arteriosus in 63 cases, pneumorrhagia in 38 cases,air leak in 64 cases, bronchopul- monary dysplasia in 2 cases,hypoxic ischemic encephalopathy 36 cases. Conclusion Chest CR radiograph is the best imaging method in diagnosing pulmonary hyaline membrane disease in newborn and of great clinical value.

关 键 词：肺 肺透明膜病 X线摄影 新生儿 

分 类 号：R563[医药卫生—呼吸系统] R814.41[医药卫生—内科学]